Cycle 1
Health 2025-01-15 · Fire 2025-01-15
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Niceville, FL
Manor At Blue Water Bay, The
5-star overall rating with 5-star inspections
1500 North White Point Road, Niceville, FL
(850) 897-5592
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-02-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.59
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.92
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.65
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.31
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,623
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.22
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.84
Baseline 24.80% · Performance 23.76% · Measure score 0.84 · Achievement 0 · Improvement 0.84
Healthcare-associated infections
3.36
Baseline 9.95% · Performance 8.04% · Measure score 3.36 · Achievement 0 · Improvement 3.36
Total nurse turnover
3.96
Baseline 56.93% · Performance 47.50% · Measure score 3.96 · Achievement 3.96 · Improvement 2.44
Adjusted total nurse staffing
3.53
Baseline 4.58 hours · Performance 4.08 hours · Measure score 3.53 · Achievement 3.53 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.97% |
10.72%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 726 · Observed rate 12.95% · Lower 95% interval 10.54% |
| Discharge to community | 68.6% |
50.57%
18 pts better
|
Better than the National Rate · Eligible stays 722 · Observed rate 62.74% · Lower 95% interval 64.73% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.76% |
95.27%
4.5 pts better
|
Numerator 418 · Denominator 419 |
| Falls with major injury | 0.95% |
0.77%
0.2 pts worse
|
Numerator 4 · Denominator 419 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 192 · Denominator 288 |
| Discharge mobility score | 59.03% |
50.94%
8.1 pts better
|
Numerator 170 · Denominator 288 |
| Pressure ulcers or injuries, new or worsened | 2.39% |
2.29%
0.1 pts worse
|
Numerator 10 · Denominator 419 · Adjusted rate 2.83% |
| Healthcare-associated infections requiring hospitalization | 8.04% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 452 · Observed rate 7.74% · Lower 95% interval 5.98% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 201 |
| Staff flu vaccination coverage | 39.52% |
42%
2.5 pts worse
|
Numerator 98 · Denominator 248 |
| Discharge function score | 63.19% |
56.45%
6.7 pts better
|
Numerator 182 · Denominator 288 |
| Transfer of health information to provider | 99.17% |
95.95%
3.2 pts better
|
Numerator 119 · Denominator 120 |
| Transfer of health information to patient | 99.57% |
96.28%
3.3 pts better
|
Numerator 230 · Denominator 231 |
| Resident COVID-19 vaccinations up to date | 16.04% |
25.2%
9.2 pts worse
|
Numerator 30 · Denominator 187 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.1
0.7 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.6 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.2
0.7 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
2.6%
0.8 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.5% · Q3 4.9% · Q4 4.7% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
3.7%
1 pts worse
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 7.9% · Q3 3.9% · Q4 2.6% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 12.6% |
5.9%
6.7 pts worse
|
5.4%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 14.5% · Q3 16.4% · Q4 11.5% · 4Q avg 12.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.3% |
15.7%
5.6 pts worse
|
19.6%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 23.9% · Q3 16.2% · Q4 18.8% · 4Q avg 21.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.4% |
9.8%
2.4 pts better
|
16.7%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 9.6% · Q3 2.1% · Q4 2.4% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.9% |
11.7%
2.2 pts worse
|
16.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.9% |
9.8%
5.1 pts worse
|
14.9%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 11.3% · Q3 15.9% · Q4 16.9% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.4%
0.1 pts worse
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
0.8%
1.5 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.3% · Q3 2.7% · Q4 1.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.9% |
12.5%
1.4 pts worse
|
19.8%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 12.9% · Q3 15.8% · Q4 12.3% · 4Q avg 13.9% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.1%
0.1 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.1% · Q3 6.1% · Q4 7.9% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
94.3%
5.2 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 100.0% · Q3 100.0% · Q4 99.0% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
9.3%
0.4 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 8.6% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.7% · Q3 0.0% · Q4 0.8% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
94.7%
4.8 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
26.2%
0.8 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 25.3% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-12 · Fire 2023-10-12
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-03-24 · Fire 2022-03-24
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Gallagher, Duane
5% Or Greater Direct Ownership Interest · Individual
Baltz, Matthew
W-2 Managing Employee · Individual
Gallagher, Duane
Corporate Director · Individual
Gallagher, Duane
Corporate Officer · Individual
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